Huyssoon, Kathryn L

Huyssoon, Kathryn L is an individual health care provider with primary practice located at 24988 Se Stark St Ste 300, Gresham OR 97030-8322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Huyssoon, Kathryn L can be contacted via phone (503) 674-5818.

Contact Information

Primary practice address
24988 Se Stark St Ste 300 Gresham OR 97030-8322
Fax: (503) 674-6709
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD17970 Oregon

Profile Details

NPI number 1023000387
LBN Legal business name Huyssoon, Kathryn L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Dec 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023000387 NPPES
Oregon MEDICAID 080697

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